Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $6,309.57 / $7,943.28	Facility		$3,388.44	$6,309.57	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,290.87 / $3,019.95 / $7,413.10	Professional		$2,290.87	$3,019.95	$7,413.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $4,570.88 / $7,079.46	Professional		$2,630.27	$4,570.88	$7,079.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,890.45 / $5,248.07 / $6,025.60	Professional		$3,890.45	$5,248.07	$6,025.60
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $6,165.95	Facility		$2,511.89	$3,890.45	$6,165.95
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $3,981.07 / $4,677.35 / $6,760.83	Professional		$3,981.07	$4,677.35	$6,760.83
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $4,897.79 / $5,370.32	Facility		$3,981.07	$4,897.79	$5,370.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $3,890.45 / $5,754.40	Facility		$2,511.89	$3,890.45	$5,754.40
Providence Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $5,011.87 / $7,079.46	Professional		$79.43	$5,011.87	$7,079.46
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Facility		$13,803.84	$13,803.84	$13,803.84
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $4,677.35 / $5,370.32 / $7,943.28	Professional		$4,677.35	$5,370.32	$7,943.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $10,232.93 / $37,153.52	Facility		$2,454.71	$10,232.93	$37,153.52
United Facility/Professional Professional Modifier Low / Median / High Price $3,467.37 / $5,128.61 / $7,079.46	Professional		$3,467.37	$5,128.61	$7,079.46